| NPI | 1649373259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 49139766004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 49139766004) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-05-08 |